Tuesday, April 28, 2020

GH CAN Leadership Check In 4/27/2020


GH CAN Leadership – Check – In



April 27, 2020 at 12PM-12:30PM via GoToMeetings





1.      Welcome

2.      Agency Updates around COVID – 19

a.      Agency Concerns around Staffing/ Agency Concerns around clients

                                                    i.     Any new people tested positive?

1.       DMHAS – Brenda Earl sent out a SAR update. Crane can send that out. CVS pharmacy has drive- up testing site in New Haven – 700 slots for public, 50 spots for health care folks. Direct care provider can show up with ID. Car drive up.

2.      Mercy – no positive staff or clients. Still dealing with tenant anxiety. Shipment of PPE and mask, any access to that?

a.      Survey on PPE to DOH to emergency planning. Request is still out, working too fill the request. JH is collecting supplies. Would like supplies, supplies are disposable. Want to prioritize N95 masks. Would like to have some for staff protection.

b.      Resend out survey to get updates on need.

c.      If anyone sews masks – add coffee filters inside, or add layers.

3.      YWCA – doing well

4.      CHR Enfield – No clients or staff with positive cases

5.      DOH –

6.      JH – working on food

7.      Sonia Brown – no updates

8.      EH Shelter – no updates

9.      Open Hearth – no updates

10.   Joel – Town of Manchester no major updates

11.   Diversion – no updates

12.   Amanda  JH – no updates

13.   CRT -Steve Bigler – no updates

14.   McKinney – no major updates

15.   CRT - Ymonne Wilson – no major updates

16.   GHHRC – no major updates.

17.   SPI – no major updates. Yoshi will be tested, no symptoms but in constant contact with clients

                                                   ii.     Other critical concerns or update from agencies?

1.      JH – Matt had a call with the DOH commissioner – survey for expenses. CAN drafted letter for reimbursements for COVID expenses. Friday commissioner will provide some cost reimbursements. FEMA to reimburse. Additional information is needed; survey will be send out. Projected costs to be included. City of Hartford has not sent out the policy. DPH will come out with some guidance as well. DOH will divide ESG funds.

                                                  iii.     Client specific case conferencing as necessary for hotel clients?



3.      Should we reduce calls?

a.      Weekly call – Wednesdays

b.      SPI and CRT to have check in for hotels – Fridays

c.      No meeting this Friday

4.      Any other topics?

Thursday, April 23, 2020

GH CAN Leadership Meeting: 4/22/2020


GREATER HARTFORD COORDINATED ACCESS NETWORK MEETING AGENDA

Follow Up Meeting

Wednesday, April 22 via GoToMeetings

 1PM – 2:15PM



1.      Welcome and Introductions – 10 minutes

2.      COVID – 19 – 15 minutes

                                                    i.     Shelter/Agency Updates

1.      Any staff/clients tested positive? Showing Symptoms? Any Challenges?

a.      Interval House – no major updates, everything is going well. Steady call rate not all are for shelter, working with Hartford Police department for domestic violence calls. Diverting people, and hoteling for emergencies.

c.      SA –  No client cases in in warming center and shelters. Staff are working hard – encouraging staff and self-care.

e.      DMHAS – no major updates, wearing masks.  Self care slide deck to come with webinar information.

f.       Mercy – no one has tested positive and no one is symptomatic. Procedures have not changed

h.     DOH – FEMA has extended hotels to June 1st

i.       CHR Enfield – no major updates. Section 8 for Enfield were filled out and sent in.

j.       COH – no major updates, looking into working with CAN how to spend COVID dollars. Requests should be send as PDF for ESG and HOPWA.

l.       GHHR – no major changes. Mobile unit 7 days a week with boxed lunches. Sat and Sun. at 5-7 for meals.

n.     YWCA – doing well. Challenge in PSH increasing residents who are struggling with food. Food drive for nonperishable items.

o.     Cornerstone – all is well

p.     CRT (Steve) – no symptoms in veteran programs. Large amount of money for veterans for COVID. SSVF refer to Tylon or Steve. No notice to quit. Emergency housing fund available.

q.     EH Shelter- all is well, no symptoms for staff and clients. Working to house clients.

r.       HOH – things are going well. Case manager to maybe pick up food for clients who are uncomfortable going out. Email Kathy with information if pick up is needed.

s.      Chrysalis – all is well, no one is symptomatic. Everyone is wearing masks. Working to stagger staff.

t.       The Connection – all is well no symptoms. Applied to shared apartments.

*** reach out to Sofina from Journey Home for additional information on agencies that have reported positive cases. 

                                                   ii.     Hotel Next Steps – Matt

1.      Timeline

a.      Waiting for guidance from city of Hartford

b.     Hotels till June 1st

2.      Medical Transportation

a.      M7 as Taxi service. 2 people from agency as designated authorize users. Will be provided code to bill transportation. For COVID positive or for testing for COVID. Send Matt and Sofina contacts for agencies.

3.      Staffing

a.      City is hiring staff as soon as Friday. Would like staff at hotels. Can save some rooms for quarantine. CRT to supervise some staff. Same temps to be used who helped at hotels. Matt is collecting resumes. Looking for 1 more person per shift at Best Western.

4.      Rapid Rehousing

a.      State has planned to use the 8 MIL for RRH to get people out of hotels and shelter. City also has ESG funding for use. Agencies to provide RRH assistance? Housing search and case management.                

Agency to: involved in planning, recruitment, staffing.

                                                                                                                i.     Lisa from JH

                                                                                                               ii.     Crane from DMHAS

                                                                                                             iii.     Stephanie from Mercy

                                                                                                             iv.     Others to email if they are interested

                                                                                                               v.     Lisa to reach out to CHR to be on planning committee

3.      Clients with Income refusing to work with housing providers – Lisa Quach - 20 minutes

a.      Barrier from Solutions meeting. Working with Housing Case managers and ImmaCare and identified folks with income. Refusing to work with ImmaCare staff and are refusing housing. Are in hotels at the moment. 26 people with income – SSDI and VA pension.

                                                    i.     Suggestions: Possible discharge date (May 1st or 15th) for those with income. Refusers have expectations that can not be met. Message saying hotels are closing, encourage to do shared spaces with one other person. Memo or policy for expectations from clients (start with hotels). Message to public as well. Offer targeted rapid exit, clear message, deadline. “Only opportunity” to be housed because June 1st hotels will be closed. Message as strength approach. Letter from CAN or DOH? Based on priority of who will get housing opportunity. Work together to come up with language. Sometimes messages from case managers are not taken seriously, letter needs to come from someone who is more of an authority figure. 1 letter to public and 1 to clients. Reassurance

1.      Crane and Barbara Shaw to help work on this with a small group.

2.      Next steps – case management letter- by May 1st , 1 from Leadership – 2 weeks after 1st letter,

3.      Keep this on agenda for next few meetings

4.      List of income clients to go out to shelters from Lisa Q.

                                                   ii.     Central CAN – working towards discharge through CAN. Use at every meeting and mention attempts. CAN sets a discharge date.

4.      CT BOS COC – Crane Cesario

a.      Updates – Friday meetings for an hour about COVID – response to violence at home during COVID and discussing renewal evaluations.

5.      Announcements

a.      1 individual destroyed encampment with bathroom Downtown, some are comfortable in spaces outside We should maybe provide services at sites.

                                                    i.     Encampments should not be destroyed. City is concerned about public health.

Friday, April 17, 2020

GH CAN Leadership Meeting: Follow Up 4/15/2020


GREATER HARTFORD COORDINATED ACCESS NETWORK MEETING AGENDA

Follow Up Meeting

Wednesday, April 15th via Zoom

 1PM – 2:15PM







1.      Welcome and Introductions – 5 minutes

2.      COVID – 19 – 30 minutes

                                                    i.     Agency Updates

·        Any staff/clients tested positive? Any Challenges

o   My Sister’s Place – Rosemary, no clients or staff have tested positive. Main problem is getting clients food (from pantry, transportation to grocery stores)

o   Mercy – Natalie Cooke – no positive tests

o   Crane – CRMHC – DMHAS got approval to expedite hiring process. Forwarded email to Matt & JH – looking for direct care staff including nurses and other staff for inpatient units. Temporary work. No guarantee of ongoing employment. JH will forward email and email Crane if there are questions.  Mobile Crisis is still operating – still going out, adjusted hours. Was at hotel yesterday or the day before. Crane will find out hours of mobile crisis

o   Mark Jenkins – GHHRC – getting ready to set up mobile, beneficiary of 100 breakfast/meals per day. Need to figure out locations for – 2 vehicles are revolving units. ROOT is not in person, only telehealth.

o   Yolanda Potter – Charter Oak Health Center

o   Yoshi Bird – SPI – . Now that in hotel, multiple case managers who are out, one shelter coordinator who is covering respite program and another shelter coordinator is still working. Yoshi is covering male clients, agency support and board needs


o   The Open Hearth – Fred Faulkner - No updates

o   The Connection – John Lawlor no updates

o   Kathy Shaw – no updates

o   Barbara Shaw – Hands on Hartford no positives. Multiple employment opportunities available at Hands on Hartford. Good capacity on food.

o   Jose Vega – CRT McKinney. One client expressed minor symptoms. Going well.

o   Steve Hurley – CHR Enfield. 5 warming center clients from Enfield at hotel – how to provide assistance to Yoshi/SPI with assistance in resolving housing issues.

o   Lionel Rigler – City of Hartford – nothing to report at this point.

o   YWCA – Cathy Zeiner – no updates, no positive tests

o   Jenn K. – Cornerstone – no changes

o   Rebekah Lyas – ImmaCare – no positive cases. No updates

o   Lisa Cretella – Salvation Army Marshall House – . No other changes.

o   Heather Flannery – Interval House – no changes, no positive cases, no staffing changes.

o   Tina Ortiz – CRT – no updates.

o   Kara Capone – Mercy – no new updates

o   Jen Greer – CHR, no updates no positive tests for staff or clients.

o   Identified Issues

§  Food – My Sister’s Place (GAP) & GHRRC distributing food, Hands on Hartford providing food – all will connect after call.

§  Staffing – Yoshi at SPI, Crane is hiring additional staffing for DMHAS. SPI reports relief is on horizon, two staff who tested positive have been out for 2 weeks so should return soon hopefully.

*** please reach out to Sofina for more information on agencies that have reported positive cases. 

3.      Decision on Prioritization for Shelter/hotels during COVID – 19 – 10 minutes

a.      Will be calling folks on shelter list and checking on warming center clients, some are already in hotels. Trying to figure out where they fit in prioritization. Maybe want to add other vulnerabilities (may become known in the future) – don’t want current list to be exclusive. Amanda can add to form.

b.      Question: CAN approve Stephanie and diversion making judgment for prioritization?

c.      What about clients who can’t receive assistance through DOC Re-Entry center? CHR is taking lead on re-entry population for RRH. Mark was referring to clients who need shelter/immediate housing. Matt will follow up regarding client with CHR/Mark.

d.      Jose reports 3 clients who came to shelter looking for shelter.

e.      Stephanie reports there’s extra capacity that we typically don’t have now. Hope by end of day tomorrow to have everyone on old list to the new list. Reaching out to everyone including folks in hotels.

4.      Health Care Coordination – Kara Capobianco – 10 Minutes

a.      GHRRC has mobile van

b.      There will be a call tomorrow among healthcare coordination.

c.      All shelters operating in one location – confusing on who would be the point for healthcare for the building. Charter Oak long standing relationship with shelters, licensed at several shelters including YWCA South Park and providing healthcare for healthcare for the homeless.

d.      Wanted to streamline things – telehealth is becoming widely available. Charter Oak is able to triage clients over the phone and direct to appropriate appointment. Yolanda Potter is the point person for all this. Smartsheet form will collect all data she needs and then send email to Yolanda for info. Can also track what referrals are coming in.

e.      Client/Case manager fills out the form which will get to Yolanda. Yolanda will reach out to client or case manager. Yolanda will triage call to one of the medical behavioral health providers. If client has smartphone or computer with camera, that might be better. COVID department now. Can send to Yolanda to triage symptoms.

f.       The Open Hearth – since not in hotels, will still do the same process through smartsheets. Smartsheet is a way to track on all referrals (COVID, behavioral, medical)

g.      If client has own doctor, don’t have to go through Charter Oak. Almost all primary care across the state are going through telehealth/covid screening.

h.      Will get flyers out to hotels, post in lobby or slid under doors. Just have to ask one of the staff in hotel to make referral. Put link somewhere so it doesn’t get lost – maybe JH resources page. Will review this at Operations.

5.      New HUD ESG-COVID-19 Funding for City of Hartford and Balance of State – 15 Minutes

a.      BOS not COC – rather ESG BOS – City gets own allotment of funds.

b.      City of Hartford will be receiving 1 million for COVID, state about 8 million

c.      No known requirements on breakdown yet. Normally 40%RRH,60%ES

d.      How should JH advocate to DOH and CCEH and other influencers on how we should spend this funding amongst the categories? In this case, may be hotel capacity.

e.      Charges can go back to beginning of month. Can be for preparedness, planning, response.

f.       75% towards RRH to help turn over shelter/hotel beds faster – originally HPRP back in 2008, most went to homelessness prevention and surveys and evaluations were unclear how much prevention was provided. If we go in this direction, need to target resources better. Need more research on who is more likely to be homeless. 25% additional capacity for hotel sites.

g.      CCAN wanted to make sure it went to homelessness prevention. Ended with third split.

h.      Lionel reports no direction, no guidelines have come out yet. CCEH is talking but no guidelines yet from HUD.

i.       CDBG – removed public service gap. Will go towards diversion.

j.       DOH trying to work admin plan for 8 million. Most of DOH ESG went to RRH.  Trying to figure out what FEMA is paying for – preferring FEMA pay for hotel or food cost. That’s why survey went out to get idea of what CANs need so we can use those numbers so we can pull from wherever we need to fill holes. Amanda submitted GH CAN yesterday.

k.      Cathy Z – can we use this money to get folks out of shelter? Consistent barriers, one being no income – RRH not great solution if not able to obtain income. Challenge with LLs to show units. Need to be thinking of other barriers.

l.       SPI/McKinney expressed concerns short staff on case managers. Can money be used for services/case management or monitors at hotel to free up case management resource. 

m.    SPI has some people who are close and thinks if we had more basic case management we could get them out faster.

n.      Outreach? Crane will forward survey regarding outreach needs.

o.      Yoshi would vote for even split. Lots of money spent on overtime. Fred supports.

6.      Is GH CAN taking in new shelter admissions? If not, when? CCEH is fielding a lot of community inquiries. Goal is as soon as possible. Within next couple of days, place more people in hotels to reach normal shelter occupancy based on new prioritization. Can increase capacity in hotel in general if they hire temporary staff with understanding that there won’t be a guaranteed shelter for them to return.

7.      If they are unable to contact someone on the list, will reach out to CAN to see if they know where they are. If we can’t get a hold of them now, we can’t get a hold of them when trying to place in hotels. Will ask soup kitchens/outreach workers to have clients reach out to diversion center if they encounter folks with no phones.

8.      About 45 people on old list who needed to be contacted – CHR Enfield/Manchester, ImmaCare, Mercy were able to split list. Wanted to implement standardized prioritization since everyone is getting calls and not enough space to serve everybody and wanted fair process.

9.      South Park Inn has about 10 openings. Respite clients are being discharged to literal homelessness. Need to use list to get folks in.

10.   Tyeisha reports will have a couple of families discharging so may be able to take in new folks.

11.   OH not taking in new people. Shelter in place.

12.   SAMH – not planning to back fill when people get discharged. 5/31/2020 is overflow end date. Marshall House is at capacity. Open to guidance on if the Marshall House beds become available on whether to refill.

13.   YWCA will keep census at 15 just to make sure appropriate distancing in rooms.

14.   Announcements

a.     IMPORTANT IRS INFORMATION ON ECONOMIC STIMULUS PAYMENT

See the link below for those in your homeless programs who may not have filed a 2018 and/or 2019 tax return. They can use this link to submit banking or address information to which they can receive their economic stimulus payment. This link is just for non-filers. Please check this same site periodically for an additional link for those who may need to update their banking or address information.

GH Leadership: Daily Check In 4/13/2020


GH CAN Leadership – Daily Check – In

April 13, 2020 at 12PM-12:30PM via Zoom



1.      Welcome

2.      Agency Updates around COVID – 19

a.      Agency Concerns around Staffing

                                                    i.     SPI director is out with possibly COVID

b.      Agency Concerns around clients – anyone in isolation?

                                                    i.     1 client from SPI tested no results yet

c.      Other critical concerns or update from agencies

                                                    i.      3 clients inpatient

d.      Client specific case conferencing as necessary for hotel clients.

                                                         

3.      Other

a.      New guidelines are being drafted for clients in hotel

b.      Cash boxes/ lock boxes for prescription medication have been dropped off

c.      Quarters and detergent also has been dropped off

d.      2 carts have also been delivered at Best Western

e.      City has reached out United Health Care will not deliver for dinner and tomorrows Breakfast and Lunch – maybe Travelers to provide food

                                                    i.     Plan B for when United Health is not providing food? – Sara is working on it

f.       Bears donated meals J

g.      Email from Amanda – COVID costs and supplies

4.      Prioritization

a.      Has been finalized on policy – Amanda is working on putting this together for Diversion

b.      Elderly and those who are discharged from health facilities will be top priority

5.      ESG funds – specifically for COVID – to be discussed at GH Leadership long meeting

a.      Other fundings possibly available

Monday, April 13, 2020

GH Leadership: Daily Call 4/9/2020


GH CAN Leadership – Daily Check – In

April 9, 2020 at 12PM-12:30PM via Zoom



1.      Welcome

2.      Agency Updates around COVID – 19

a.      Agency Concerns around Staffing

                                                    i.      

b.     Agency Concerns around clients – anyone in isolation?

                                                    i.      

c.      Other critical concerns or update from agencies

                                                    i.     How many chances if clients do not show up at the hotel?

1.      Up to the agency to decide

2.      If gone for 48 hours = discharge? Most shelters are following this policy

3.      If a client is hospitalized – can bed be held at hotel?      

a.      If more than a week – open bed

b.     Case by case

d.     Client specific case conferencing as necessary for hotel clients.

                                                    i.     SPI – client in isolation at Best Western, need a hard copy from doctor to be tested at St. Francis, temperature is normal, not severe symptoms at the time

e.      Client Prescriptions

                                                    i.     Most prescriptions are being mailed into shelter than transferring it to hotels for clients

f.       Marks team is performing inductions if needed – can be done at lobby

                                                    i.     To find out if notarized letters can be accepted

g.      To receive updated protocols from Liany around discharges from hospitals – working on medical transportation

                                                    i.     1 client age 41 with health concerns – can this client be placed in an opening at the hotel?

                                                   ii.     1 client not previously homeless but waiting for discharge

                                                 iii.     Process- call 211, diversion call, then added to a list to determine priority/opening

h.     DOH will be lenant with prioritization

                                                    i.     Youth, elderly, pregnant women, individuals, family?

                                                   ii.     Family member 65 or older

                                                 iii.     Unsheltered vs those coming out of hospitals or institutions? – if confirmed literally homeless and unsheltered they can be prioritized

1.      Need history of literally homelessness

                                                 iv.     If additional space is identified – temporary staff use? Yes can use temporary staff to monitor.

1.      Temp staff for case management?

2.      Supervision for stayers in hotel

3.      Hard to provide case management because of constant monitoring, and meal distribution

4.      Using 3rd floor – needs to be further discussed

i.       Should this meeting be daily? Twice a week?

                                                    i.     Mondays and Fridays – 30 minutes